COMMON GROUND INTEGRATIVE HEALTH INC (NPI# 1306167069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306167069 |
| Entity Type | Organization |
| Organization Name | COMMON GROUND INTEGRATIVE HEALTH INC |
| Practice Address |
217 Paul Bunyan Dr Nw Bemidji MN 56601-2433 |
| Practice Telephone | 2187591222 |
| Mailing Telephone | 2187591222 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | RICHARD GEORGE CHERNUGAL (PRESIDENT) |
| Authorized Official Telephone | 2187591222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
217 PAUL BUNYAN DR NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458323 | Chernugal Inc | Pharmacy | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2005-06-24 |
| 1932640216 | Timothy Furfaro | Pharmacist | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2017-03-20 |
| 1497296115 | Medsave Family Pharmacy | Pharmacy | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2017-03-14 |
| 1932417045 | We Care Connections Pa | Nurse Practitioner | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2010-09-23 |
| 1851612154 | Medsave Family Wellness Center | Family Medicine | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2010-06-21 |
| 1548491160 | Kimberly Ann Ames | Pharmacist | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2009-07-30 |
| 1346476850 | Chernugal Inc | Pharmacist | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2009-06-10 |
| 1174703441 | Erin Kay Folland | Pharmacist | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2007-11-05 |
| 1215911557 | Sheila Marie Dressler | Pharmacist | 217 Paul Bunyan Dr Nw, Bemidji, MN 56601-2433 | 2005-11-30 |
| 1457335796 | Richard George Chernugal | Pharmacist | 217 Paul Bunyan Dr Nw, Med Save Family Pharmacy, Bemidji, MN 56601 | 2005-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861620981 | Omokhuale Omokhodion | Family Medicine | 1233 34th Street South West, Bemidji, MN 56601 | 2009-06-26 |
| 1205942158 | Diane Mountain Pittman | Family Medicine | 521 Minnesota Ave Nw, Bemidji, MN 56601-3024 | 2006-08-22 |
| 1952361636 | Richard Lowell Olson | Family Medicine | 1705 Anne St Nw # 5678, Bemidji, MN 56601-6151 | 2006-03-25 |
| 1790752905 | Valerie Louise Fox | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2006-03-07 |
| 1285171223 | Daniel Ewen Wheeler | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2017-01-29 |
| 1124476049 | Jessica Lynn Stay | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2016-06-01 |
| 1538571468 | Michael Jaje | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-05-27 |
| 1588074124 | Francis Moraleda | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2014-05-05 |
| 1023350949 | Terry Joseph Luma | Family Medicine | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2013-03-18 |
| 1003112657 | Vijay Kiran Jayanti | Family Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2011-01-31 |
| Find all providers in BEMIDJI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.